Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa S Vanderwall, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1194073650

Lisa S Vanderwall, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Chattanooga, Tennessee. Qualified in 2012, 14 years ago. Practices with Watson Anesthesia Group PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

975 E Third St
Chattanooga, TN 37403-2147
Phone: (423) 778-7608
Fax: (423) 778-2360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APN16963 (TN)
Registered Nurse Taxonomy 163W00000X · Licence RN161224 (TN)

Record details

NPI number1194073650
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 15, 2012
Last updated in NPPESNovember 1, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Watson Anesthesia Group Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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